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Organization
SERVIMED MIAMI PA
Active
Organization
SERVIMED MIAMI PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARA M RODRIGUEZ (PHYSICIAN)
(786) 556-6652
Entity
Organization
Contact information
Practice address
3850 SW 87TH AVE, SUITE 305, MIAMI, FL 33165-5400
(786) 556-6652
Mailing address
3850 SW 87TH AVE, SUITE 305, MIAMI, FL 33165-5400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME111166
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518242346
INDIVIDUAL NPI
FL
Enumeration date
10/10/2013
Last updated
10/10/2013
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